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جستجوی مقالات مرتبط با کلیدواژه « Sociocultural Factors » در نشریات گروه « پزشکی »

  • لیلا اسمی، رضا نیک بخش*، طیبه زرگر، حسن قاسمعلی پور
    اهداف

    وجود حجم زیادی از مطالعات پیرامون ورزش و فعالیت های بدنی سالمندان که نتایج آن ها تا حدودی دوپهلو و مبهم است، برنامه ریزی و سیاست گذاری برای این حوزه را با مشکل همراه کرده است؛ بنابراین لازم است نتایج تحقیقات گذشته ترکیب و یکپارچه سازی شود. از این رو، پژوهش حاضر با هدف فراتحلیل عوامل موثر بر ورزش و فعالیت بدنی سالمندان در ایران انجام شد.

    مواد و روش ها 

    روش این پژوهش، فراتحلیل و با هدف ترکیب پژوهش های انجام شده در زمینه عوامل موثر بر ورزش و فعالیت بدنی سالمندان در ایران انجام شد. جامعه آماری این پژوهش را مطالعات توصیفی (پیمایشی و همبستگی) و در دسترس که در فاصله سال های 1390 تا 1400 در داخل کشور به صورت مقاله تمام متن در پایگاه های اطلاعاتی و کتابخانه های دانشگاه ها در دسترس بودند، تشکیل می دادند. بر اساس ملاک های ورود و خروج، 17 تحقیق بررسی شد. برای تجزیه و تحلیل پژوهش های اولیه از اندازه اثر به تفکیک هر مطالعه، اندازه اثر ترکیبی با 2 مدل اثرات ثابت و تصادفی، نمودار قیفی، تحلیل حساسیت، آزمون همگنی، مجذور I و آماره FS-N استفاده شد. همچنین نوع شاخص اندازه اثر استفاده شده شاخص r بود که با کمک نرم افزار CMA نسخه 2 محاسبه شد. 

    یافته ها

    نتایج مربوط به اندازه اثر ترکیبی برای مدل اثرات تصادفی (0/528=r) و برای مدل اثرات ثابت (0/532=r) به دست آمد. همچنین نتایج نشان داد از میان 73 اندازه اثر 15 مورد اندازه اثر کم، 37 مورد اندازه اثر متوسط و 21 مورد اندازه اثر زیاد داشتند. در نهایت، مشخص شد عوامل فرهنگی اجتماعی با اندازه اثر (0/622=r) بیشترین اثر را بر ورزش و فعالیت بدنی سالمندان در ایران دارد و پس از آن، عوامل فردی (0/591=r)، انگیزش (0/573=r)، عوامل محیطی (0/572=r)، عوامل اقتصادی (0/478=r) و عوامل بین فردی (0/431=r) در رتبه های بعدی قرار داشتند. 

    نتیجه گیری

    بر مبنای این نتیجه ورزش و فعالیت بدنی سالمندان در ایران تحت تاثیر عوامل متعددی قرار دارد و صرفا تاکید بر یک معیار یا شاخص خاص نمی تواند زمینه مشارکت سالمندان در ورزش را فراهم آورد، اما لازم است به عوامل فرهنگی اجتماعی، عوامل فردی، انگیزش، عوامل محیطی، عوامل اقتصادی و عوامل بین فردی بیش از سایر عوامل موثر بر ورزش و فعالیت بدنی سالمندان توجه شود.

    کلید واژگان: فراتحلیل, سالمندان, عوامل فرهنگی, عوامل فردی, فعالیت بدنی​​​​​​​}
    Leila Esmi, Reza Nikbakhsh*, Taiebeh Zargar, Hassan Ghasmalipour
    Objectives 

    The existence of a large number of studies on exercise and physical activities of the elderly, whose results are somewhat contradictory, has made planning and policy-making for this area difficult. It is necessary to combine and integrate the results of these studies. Therefore, the current study aims to conduct a meta-analysis of the studies on factors affecting exercise and physical activity of the elderly in Iran.

    Methods & Materials 

    This is a meta-analysis and systematic review study of descriptive studies (survey or correlational) conducted in Iran assessing the factors affecting the exercise and physical activity of older adults in Iran from 2011 to 2021, and were available through searching in the databases. Based on the inclusion and exclusion criteria, 17 articles were finally selected for the review. To analyze the studies, the effect size for each study, the mixed effect size with two fixed and random effects models, funnel plot, sensitivity analysis, homogeneity test, I2 statistic and the failsafe statistic (FS-N) were used. The type of effect size index was the r index, which was calculated in CMA software, version 2.

    Results

    The mixed effect size was r=0.528 for the random-effects model and r=0.532 for the fixed-effects model. Among 73 effect sizes, 15 had small sizes, 37 had moderate sizes, and 21 had big sizes. It was found that sociocultural factors had the biggest effect sizes (r=0.622) followed by individual factors (r=0.591), motivation (r=0.573), environmental factors (r=0.572), economic factors (r=0.478), and interpersonal factors (r=0.431).

    Conclusion

    Exercise and physical activity of the elderly in Iran is influenced by several factors and simply emphasizing a specific factor cannot help increase their activities. However, it is recommended to consider sociocultural, individual, motivational, environmental, economic, and interpersonal factors more than other factors that affect exercise and physical activity of the elderly.

    Keywords: Meta-analysis, Aged, Sociocultural factors, Individual factors, Physical activity}
  • Zahra Haghdoost, Gholamreza Masoumi, Shandiz Moslehi, Abbas Ebadi, Davoud Khorasani Zavareh
    Background

     Various factors are involved in the occurrence of Road Traffic Crashes (RTCs), one of the most important of these are human factors that can be greatly influenced by the specific sociocultural bases of the drivers. So far, there has not been a scale for measuring Sociocultural Factors (SCFs) predicting the occurrence of RTCs in Iranian drivers. Therefore, the present study was conducted to design and to do psychometric evaluation of a scale for measuring SCFs predicting the occurrence of RTCs in drivers.

    Methods

     This exploratory sequential mixed method was carried out in three phases. In phases 1 and 2, an initial items pool was created based on systematic literature review (phase1), and semi structured interviews (phase 2). In phase 3, the initial scales were validated using face and content validities. Then, principal component analysis and confirmatory factor analysis were performed to assess the construct validity. Finally, the reliability of the scale was evaluated by examining internal consistency and stability.

    Results

     The scale content validity index was 0.92. Principal component analysis showed seven factors with 27 items, which explain 55.56% of the total variance. In confirmatory factor analysis, model fit indices were satisfactory. Discriminant analysis was also able to distinguish between two groups of accident-involved drivers and accident-free drivers (P less than 0.0001). The reliability of the scale by Cronbach's alpha, Theta, Omega and intra-class correlation coefficients was 0.82, 0.96, 3.07, and 0.80, respectively.

    Conclusion

     This scale can be used as a valid and reliable scale to evaluate the SCFs predicting the occurrence of RTCs in drivers. Furthermore, the findings of this study will be useful in identifying and planning to reduce RTCs, especially in accident-prone drivers.

    Keywords: Sociocultural Factors, Predictors, Road Traffic Crash, Validity, Reliability}
  • Zahra Haghdoust, Gholamreza Masoumi*, Davoud Khorasani Zavareh, Abbas Ebadi, Shandiz Moslehi
    Background

    Various factors are involved in the occurrence and prediction of road traffic crashes (RTCs). The most important of these are human factors that can be influenced by the sociocultural characteristics of the drivers. This research aimed at identifying the socio-cultural factors (SCFs) in car drivers affecting the RTCs.  

    Methods

    In the present study, Web of Science, PubMed, Scopus, ProQuest, Google Scholar, Cochran Library, Magiran, Irandoc, Noor magas, Islamic World Science Citation Center, and  Scientific Information Database were searched from 1990 to August 20th, 2021; key journals, the reference lists of the included studies, gray literature, websites of relevant organizations were manually reviewed. Studies that reviewed the effect of SCFs related to car drivers in the incidence or prediction of road traffic crashes were included and analyzed using thematic content analysis. Results were expressed based on the PRISMA guideline. The quality of the included studies was assessed using related checklists.  

    Results

    Eighty-four eligible studies were determined from a systematic search and entered into the analysis process. Studies are presented that SCFs affecting the occurrence of RTCs fall into four categories, including (1) sociodemographic characteristics, (2) personality traits, (3) driver behavior (driving style), (4) driver performance (driving skills).  

    Conclusion

    In most studies, SCFs have been examined in frames of social-demographic characteristics and risky driving behaviors. While, the impact of personality traits and driver performance, which are very important factors on RTCs, has not been addressed. Therefore, investigating the impact of these factors in occurring RTCs is crucial.

    Keywords: Road Traffic Crashes, Sociocultural Factors, Car Drivers}
  • Seyed Abolhasan Naghibi, Davood Shojaizadeh, Ali Montazeri, Jamshid Yazdani Cherati
    Of the ways to fight breast cancer and reduce deaths hazard due to early detection is one of early detection programs in women’s breast self- examination. Examining breast by oneself increase individuals knowledge of her breast health that helps in detecting breast cancer early. Different cultural, social, family and individual factors play roles in women’s behavior about breast self- examination applying PEN-3 model in this study is to analyze factors influencing on breast self-examination. The research is a descriptive- analytical, cross-sectional type. Research community consists of women at fertility age of 20-49 in sari. Sample volume is 415 individuals and sampling method is cluster method. In this study, a 50-item questionnaire based on PEN-3 was used. Avestions were answered by Likert scoring method. Questionnaire was gathered by personal presence of questioners. Data was analyzed via descriptive statistics and logistic regression methods. Based on the study findings, the most significant positive behaviors related to perceptual factors included effectiveness of disease background in family and relatives (73%), believing in breast self- examination for pursuing health (93%) and the most important negative behaviors were shyness and modesty (83.9%) and increased worry (78.9%). The most remarkable positive behaviors regarding enabling factors covered the skill to do breast examination oneself (35.2%), the availability of health and therapeutic centers (80.7%) and the most significant negative behavior was being busy and lack of time (85.3%). The most important positive behavior about nurturing factors included family consent (68.9%) and the most significant negative one was the inappropriate treatment of health andtherapeutic personnel (61.8%). In this study, there is a meaningful difference between employment ages, education with PEN-3 model constituents. Since behaviors due to enabling and nurturing perceptual factors have been important in doing or not doing breast self- examination; thus its worth to take measures to plan some educational and administrative intervention programs about women breast cancer early detection through sufficient knowledge of influential sociocultural factors.
    Keywords: Breast cancer, Self, examination, PEN, 3 model, Sociocultural factors}
نکته
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